Most Relevant Information
Provider Data
| NPI Number: | 1003451113 |
| Provider Name: | THERESE MARIE JORDAN DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251P0200X |
| Specialty: | Physical Therapist |
| License Number: | 40QA01839300 |
Most Important Dates
| Enumeration Date: | 11/12/2019 |
| Last Updated: | 11/12/2019 |
Provider Practice Location
755 MEMORIAL PKWY
PHILLIPSBURG
NJ
088652748
Practice Location Phone/Fax
| Phone: | 9088476756 |
| Fax: |
Provider Mailing Location
225 EVERGREEN CT
SAYLORSBURG
PA
183539363
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |